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Assent Form

The document is an assent form for a study conducted by Saint Columban College's Graduate School, detailing the study's purpose, participant criteria, data gathering methods, and risks involved. It emphasizes voluntary participation, confidentiality, and the benefits of the research, while also requiring parental consent for child participants. The form includes sections for participant information and investigator contact details.

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Sofia Buhian
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34 views1 page

Assent Form

The document is an assent form for a study conducted by Saint Columban College's Graduate School, detailing the study's purpose, participant criteria, data gathering methods, and risks involved. It emphasizes voluntary participation, confidentiality, and the benefits of the research, while also requiring parental consent for child participants. The form includes sections for participant information and investigator contact details.

Uploaded by

Sofia Buhian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Assent Form

SAINT COLUMBAN COLLEGE


Pagadian City
-oOo-
GRADUATE SCHOOL

TITLE OF THE STUDY

1. Invitation to Participate. (Present here your name, affiliation (SCC), some personal
details, the purpose of your study, and the purpose of this form.)
2. Details about the Study. (Present here the important details of the study from chapter 1
to the method section EXCEPT for the research participants.)
3. Research Participants. (Present here the target participants and their inclusion criteria)
4. Details on the Data Gathering. (Describe here if the participants will be interviewed.
Describe the details of the interview. If the manner of data gathering is not through the
conduct of the interview, describe it in detail.)
5. Risks and Inconveniences. (Layout the risks and inconveniences that the research
participants will experience in participating in the study. Layout the risks and
inconveniences in participating in the interview or answering the questionnaire.)
6. Addressing the risks and Inconveniences. (After presenting the different risks and
inconveniences of participating in the study, layout your ways to address them so that
participation in the study will become worth doing.)
7. Confidentiality. (Layout the steps on how are you going to preserve the confidentiality
of the data gathering and the data from it.)
8. Voluntary Participation. (Provide the conditions for voluntary participation.
9. Benefits of Participating in the Research. (Describe the benefits of in participating
your study.)
10. Parent’s Consent. (Describe that by signing below, they are giving the consent of their
child to participate in your study. Include also the statement for audio or videotaping)
☐ I give permission for my child to be audio/video taped.
☐ I do not give permission for my child to be audio/videotaped.]

Your child’s name: __________________________________

Parent’s name: _______________________________________

Parent’s Signature: ___________________________________

Date: ___________________________

Name: (Your Complete Name) __________________________________


Contact # 09123456789 Signature of the Investigator
Email: sccresearchoffice@sccpag.edu.ph

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